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Coverage of health insurance among the near-poor in rural Vietnam and associated factors

Author

Listed:
  • Thanh Duc Nguyen

    (Hanoi School of Public Health)

  • Andrew Wilson

    (University of Sydney)

Abstract

Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam.

Suggested Citation

  • Thanh Duc Nguyen & Andrew Wilson, 2017. "Coverage of health insurance among the near-poor in rural Vietnam and associated factors," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 63-73, February.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:1:d:10.1007_s00038-016-0911-z
    DOI: 10.1007/s00038-016-0911-z
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    References listed on IDEAS

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    1. Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
    2. Aparnaa Somanathan & Ajay Tandon & Huong Lan Dao & Kari L. Hurt & Hernan L. Fuenzalida-Puelma, 2014. "Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options," World Bank Publications - Books, The World Bank Group, number 18885, December.
    3. Chernew, Michael & Cutler, David & Keenan, Patricia S., 2005. "Increasing Health Insurance Costs and the Decline in Health Insurance Coverage," Scholarly Articles 2660660, Harvard University Department of Economics.
    4. Kuangnan Fang & BenChang Shia & Shuangge Ma, 2012. "Health Insurance Coverage and Impact: A Survey in Three Cities in China," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-8, June.
    5. Nguyen, Ha & Knowles, James, 2010. "Demand for voluntary health insurance in developing countries: The case of Vietnam's school-age children and adolescent student health insurance program," Social Science & Medicine, Elsevier, vol. 71(12), pages 2074-2082, December.
    6. Jowett, M. & Contoyannis, P. & Vinh, N. D., 2003. "The impact of public voluntary health insurance on private health expenditures in Vietnam," Social Science & Medicine, Elsevier, vol. 56(2), pages 333-342, January.
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